Provider Demographics
NPI:1689451981
Name:FOR YOUR GLORY LLC
Entity Type:Organization
Organization Name:FOR YOUR GLORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADESOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUGABROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-880-7624
Mailing Address - Street 1:1101 S MILLIKEN AVE STE E
Mailing Address - Street 2:#1098
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-8112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3425 E PARADUXX PRIVADO # CA91762
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-7505
Practice Address - Country:US
Practice Address - Phone:909-286-5769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing